| NPI | 1740618693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET YEARWOOD Ownerq 352-504-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL PA9104428) |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2013-10-30 |